智歯の抜去を行ったGitelman 症候群の1例

• Published in: 日本口腔外科学会雑誌 Vol. 61; no. 6; pp. 346 - 349
• Main Authors: 鵜澤, 成一, 原田, 清, 炭野, 淳, 稲葉, 好則, 佐藤, 豊
• Format: Journal Article
• Language: Japanese
• Published: 社団法人 日本口腔外科学会 20.06.2015
• Subjects: ギテルマン症候群; プロピトカイン塩酸塩−フェリプレシン; 智歯抜去
• ISSN: 0021-5163; 2186-1579
• DOI: 10.5794/jjoms.61.346

A 48-year-old woman presented at our university hospital for her dental treatment. She had a past history of hypokalemic shock during dental treatment. We consulted the division of diabetes, metabolism,　and endocrinology of a hospital concerning her tooth extraction. Then, she was given a diagnosis of Gitelman syndrome. We performed extraction of a third molar using propitocaine hydrochloride-felypressin（Citanest-Octapressin®） as a local anesthetic while monitoring the serum potassium level during extraction. We measured the serum potassium level preoperatively, after local anesthesia, and postoperatively. There were no complications during or after tooth extraction.